Provider Demographics
NPI:1619250602
Name:DARBY, THOMAS JOHN (RPH)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:JOHN
Last Name:DARBY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 ARBOUR DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-1204
Mailing Address - Country:US
Mailing Address - Phone:302-983-8465
Mailing Address - Fax:
Practice Address - Street 1:287 CHRISTIANA RD STE 17A
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-2978
Practice Address - Country:US
Practice Address - Phone:302-325-1098
Practice Address - Fax:302-325-9632
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA10002585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist